Skittles continued

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SkittlesMarie said:
Please someone who knows dosing for SLGS for Skittles. The 1.75 units twice per day is helping but I do not know when her numbers are too low to shoot. Her next shot is at 8 pm tonight. Need help. Thanks.
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I still can’t see any data after 5/3....? I don’t even see that you’re up to 1.75 the last entry still says 1.5. Anything lower than 200 for the ps should be considered low. Take a look at this link:

http://www.felinediabetes.com/FDMB/...-low-go-slow-slgs-tight-regulation-tr.210110/

this is the important part about numbers for SLGS
“How to handle a lower than normal preshot number:

Until you collect enough data to know how your cat will react, we suggest following the guidelines in the FDMB's FAQ Q4.4:
Q4.4. My cat's pre-shot level was way below the usual value. Should I give the injection?
A4.4. There's no hard and fast rule, but if you don't have data on how your cat responds to insulin, here are some general guidelines.
  • Below 150 mg/dl (8.3 mmol/L), don't give insulin.
  • Between 150 and 200 (8.3-11.1 mmol/L), you have three options:
    • a.) give nothing
    • b.) give a token dose (10-25% of the usual dose)
    • c.) feed as usual, test in a couple of hours, and make a decision based on that value
  • Above 200 (11.1 mmol/L) but below the cat's normal pre-shot value, a reduced dose might be wise.
  • In all cases, if you are reducing or eliminating insulin, it's wise to check for ketones in the urine.
  • Above the normal pre-shot value, give the usual dose, but if the pre-shot value is consistently elevated, it's a good idea to schedule a full glucose curve to see whether a change in dose or insulin is appropriate. In most cases, the target "peak" value should not be below 100 mg/dl (5.6 mmol/L), and for some cats it might be higher.”
 
SkittlesMarie said:
Her next shot is at 8 pm tonight. Need help.
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8 PM your time does not mean anything to us. We live all over the world. Please express your shot time in + time hours from when you posted. Give us a number of hours until Skittles next shot in other words.

Please, we are trying to help you here on the FDMB message board, but we need updated info. Please update your spreadsheet, which does not have any data since 5/3/20. Lowest number depends on how much test data you have, how many test strips you have available, if you can stay up to test and a host of other factors.

With enough data, most any BG pre-shot is shootable with Lantus. But you don't have that data yet. As you learn more about how your cat reacts, that standard suggestion to not shoot below 150 mg/dL changes and can be lowered.

Please Karen, help us help you better and keep the SS updated.

p.s. Also, please add your insulin and your meter used to your User Id signature. Plus the type of food you are feeding.

p.p.s Found her on the FB group and asked her to update the SS.
 
Deb & Wink said:
8 PM your time does not mean anything to us. We live all over the world. Please express your shot time in + time hours from when you posted. Give us a number of hours until Skittles next shot in other words.

Please, we are trying to help you here on the FDMB message board, but we need updated info. Please update your spreadsheet, which does not have any data since 5/3/20. Lowest number depends on how much test data you have, how many test strips you have available, if you can stay up to test and a host of other factors.

With enough data, most any BG pre-shot is shootable with Lantus. But you don't have that data yet. As you learn more about how your cat reacts, that standard suggestion to not shoot below 150 mg/dL changes and can be lowered.

Please Karen, help us help you better and keep the SS updated.

p.s. Also, please add your insulin and your meter used to your User Id signature. Plus the type of food you are feeding.

p.p.s Found her on the FB group and asked her to update the SS.
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Karen, you quoted my reply but did not do any sort of reply of your own.
Please try again.

Still not seeing any updates on the SS since 5/3/20
 
I am just learning. Her next shot is in an hour and a half. I am in Texas USA central time. She only eats fancy feast pate. She is doing well.
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SkittlesMarie said:
I really am just learning how to navigate and use this board.
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Yes, it's kind of different from FB. This thread from the Announcements & How to use the FDMB forum has some tips in reply #2, to help you learn to do "stuff" on here.
Sticky HOW-TO USE THE FDMB: The Basics

I see you managed to link a screenshot into one of your replies.
So Skittles is at 117 at +9 today in the AM cycle.

You are using Lantus. So 150 mg/dL is the decision threshold for newer members using that insulin.
Do you know how to stall, if Skittles BG number is not up higher at pre-shot test time?
Stalling is withholding food, doing another test in 20 minutes, and seeing if the BG level has risen to your decision threshold.
You can stall for about 1 hour with Lantus, before it throws off your shot schedule too far.

Other options, are to give a reduced dose or skip the shot. But with the insulin "depot", skipping a shot or giving a reduced dose will cause that "depot" to drain a bit. Still, one of those options could be the better choice depending on what Skittles BG levels are at PMPS.

Getting a +2 test will often tell you which direction the BG is headed.

Chris & China (GA) wrote this up some time ago.
"The +2 is like an "early warning" for most cats!
If the +2 is about the same as the PS, it's usually a pretty normal cycle...dropping down to nadir and then rising back up again.
If the +2 is higher than the PS, that usually signals a bounce, and those are the cycles when you can usually take a break from testing.
If the +2 is lower than the PS, that's your "Early warning" that kitty might be going much lower later in the cycle so it's important to plan on getting another test or two (or 6) in.

It doesn’t work every time or with every cat. But it does hold true most of the time, so keep this in mind for next time."
 
SkittlesMarie said:
Can someone tell me what nadir means? It is obviously very important.
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Yes, it sure is.

Nadir is the lowest point during the 12 hour dosing cycle that the insulin takes YOUR cat. ECID Every Cat is Different.
Peak/Nadir - the lowest point in the cycle Nadir means low.

So you test, to find when your cat drops the lowest during the dosing cycle. And just to make it more fun, that nadir does not always stay at the same time. Testing somewhere between +5 and +7 is the usual time, but cats differ. So you test.

My Wink had an early nadir, around +3 to +4.

Our Lantus dosing protocols use that nadir/peak/low to determine what the dosing changes should be.

You might want to read some of the "Sticky" or pinned posts over at the top of the
Lantus / Basaglar (glargine) and Levemir (detemir) forum.

There is a LOT of information contained there, so take it slow and easy.

You might want to start with these 2 "Sticky" documents.
Sticky The Basics: New to the Group? Start here!
Sticky Dosing Methods: Start Low, Go Slow (SLGS) & Tight Regulation (TR)

and then move on and read the other Stickies from that forum.
 
There is a problem with the link you did for your SS (spreadsheet). We are still only seeing the data from 5/3/20. Nothing newer.

Please review this document, on how to do the link for your SS in your signature.
FDMB Spreadsheet Instructions

Start about half way through the document, and make sure you did that "Publish to the Web" section correctly.
Then keep going until you hit the section that says Instructions for pasting the SS link in your FDMB Signature block:

I think you missed something in the setup in the "Publish to the Web" section.

Would you try that fix please?
 
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